Gynecology and Obstetrics Online Doctors Consultation — page 9

Patient Name: Ritika Age: 24 years Chronic Illnesses: None Primary Complaint: Blood in urine during periods, pain while urinating History: Sexual activity in December Missed periods in December and January Took emergency contraceptive pill in January Delayed period onset in December Currently experiencing hematuria (blood in urine) and dysuria (painful urination) Provisional Diagnosis: Urinary Tract Infection (UTI) – Most likely, especially with symptoms of painful urination and blood in urine. Hormonal Imbalance/Post-pill effects – Emergency contraceptive pills can disrupt your cycle and cause irregular bleeding. Other possibilities: Mild vaginal trauma or irritation from sexual activity Kidney stone (less common at this age but possible) Less likely but serious: bladder infection or reproductive tract infection Prescription Plan (Humanized Format): Urine Routine & Microscopy Test To check for infection, RBCs, or crystals Collect a midstream urine sample * follow up with reports for the treatment plan* Thank you Dr Shayeque Reza MD 9800280276

Hello Sujata, Hello, aapka sawal bahut hi important hai, especially jab aap conceive karne ki koshish kar rahi hain. Aapne bataya ki aapne doctor se conceive karne ke liye medicine li thi aur unhone aapko progesterone ki tablet bhi di thi. Progesterone tablet lene se periods delay ho sakte hain. Agar pregnancy nahi bhi hui ho, phir bhi jab tak aap progesterone le rahi hoti hain ya uske kuch din baad tak periods nahi aate. Jab progesterone band kiya jata hai tab hormone levels girte hain aur uske baad withdrawal bleeding hoti hai, jise period samjha ja sakta hai. Agar aap pregnant ho gayi hain to body naturally progesterone banati hai aur tablet bhi continue ki jati hai, jiske kaaran periods nahi aate. Pregnancy test karne ka sahi samay hai jab aapke expected period date ke baad kam se kam 7 se 10 din beet chuke hoon. Aap ghar par urine pregnancy test subah ke pehle urine se karein, kyunki tab urine zyada concentrated hota hai aur test accurate hota hai. Agar result negative aaye lekin periods abhi bhi na aaye, to 3 se 4 din baad test dobara karein ya blood test jise Beta-hCG kehte hain, wo karwayein. Blood test pregnancy confirm karne ka sabse reliable tareeka hai. Agar aap pregnant hui hain to pehle month me kuch common symptoms ho sakte hain jaise periods miss hona, breasts me heaviness ya tenderness, subah subah nausea ya vomiting, thakan zyada lagna, neend zyada aana, mood swings, bar bar peshab aana, aur kabhi kabhi halka spotting bhi ho sakta hai jo implantation bleeding ho sakta hai. Lekin har mahila ko ye symptoms nahi hote, isliye symptom na hone ka matlab ye nahi ki aap pregnant nahi hain. Abhi aapko kya karna chahiye, agar aapke periods 5 se 7 din se late hain to aap ghar par pregnancy test kar sakti hain. Agar result negative ho aur phir bhi period na aaye, to blood test karwana best rahega. Agar pregnancy confirm ho jati hai to aapko progesterone tablet continue rakhni chahiye jaise doctor ne bataya hai. Agar pregnancy nahi hui hai to doctor aapke cycle reset karne ke liye dusri medicine suggest karenge. Agar aap mujhe bata paayein ki aapki last period kis date ko aayi thi, aapne progesterone kaunsa liya tha aur kitne din tak liya tha, to main aapko aur exact guidance de sakti hoon. Dr Shayeque Reza MD 9800280276

Hi Seerat, given the prolonged bleeding and that Nexamic hasn’t stopped it, it’s important not to delay seeking medical attention. I recommend you see a gynecologist as soon as possible to identify the cause of the irregular bleeding. 1. Take a pregnancy test (UPT) to rule out pregnancy-related issues. 2. Consult a gynecologist immediately to get a proper diagnosis, as the bleeding could be due to hormonal imbalances or other conditions. 3. Tests like ultrasound or hormonal panels may be necessary to determine the underlying issue. Delaying treatment could lead to further complications, so please do not wait and seek professional advice at the earliest.

do TVS

Hii ishika.. plz have ultrasound abdomen and rule out thyroid profile & change life style do good excercises play skipping burn calories..drink pleanty of water.... recently any increase in weight gain???

Patient Name: Ishika Age: 20 years Date: 13-April-2025 Chief Complaint: Irregular menstrual cycles (intervals of 34–36 days) Weight gain Menarche at age 11 Preliminary Assessment: Oligomenorrhea (irregular menstrual cycles) Suspected hormonal imbalance — rule out Polycystic Ovary Syndrome (PCOS) or other endocrine disorders Recommended Investigations: Pelvic Ultrasound (Transabdominal or Transvaginal) — to check for polycystic ovaries Blood Tests (on day 2–5 of cycle or as advised): LH, FSH Serum Testosterone (total and free) TSH (Thyroid Stimulating Hormone) Prolactin Fasting Blood Sugar and Insulin Lipid Profile HbA1c Lifestyle Recommendations: Balanced diet focused on whole grains, lean proteins, vegetables, and low-GI carbs Avoid refined sugar and processed foods At least 30 minutes of moderate exercise 5 days a week (e.g., walking, yoga, strength training) Monitor weight and menstrual pattern Follow-up: After completion of investigations Track cycles using a period tracker app or journal Note: If PCOS is confirmed, further management may include dietary changes, hormonal therapy, or insulin-sensitizing agents based on findings. Prescribing Doctor: Dr. Shayeque Reza MD 9800280276 ( Whatsapp)

Hii divya plz get ultrasound abdomen and rule out thyroid profile & change life style do good excercises play skipping burn calories..